Physician

Glenn Edward Macnichol, M.D.

According to 2025 Medicare claims, Glenn Macnichol, M.D. (NPI: 1245297811) practices anesthesiology in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Nash, NC. This provider's primary affiliated billing organization is CAROLINA REGIONAL ORTHOPAEDICS, PA (NPI: 1629018163; TIN: 561758445) and primary practice location at 27804-1743. Macnichol is affiliated with the Coastal Plains Network, LLC (ACO ID: A2684), participating under the MSSP model.

Macnichol's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 569 traditional Medicare patients, billed 10,269 HCPCS/CPT codes, and received $390,793 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,931 prescription claims across 617 beneficiaries totaling $268,593 in drug costs, led by Relistor (Methylnaltrexone Bromide). 2018 DME data shows 11 claims. Open Payments data shows 44 records totaling $532. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $232,479 and ending at $268,593. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	838	16,619	$454,178
2016	840	17,466	$431,736
2017	929	18,714	$529,527
2018	822	15,942	$488,005
2019	760	15,802	$463,515
2020	683	15,446	$412,806
2021	578	13,994	$371,071
2022	569	12,691	$348,150
2023	526	9,583	$337,161
2024	569	10,269	$390,793

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	536	3,078	$232,479
2016	545	4,138	$316,245
2017	479	2,531	$229,431
2018	449	2,506	$285,552
2019	491	2,988	$428,379
2020	489	2,881	$367,672
2021	503	2,978	$319,966
2022	458	2,872	$405,126
2023	506	2,409	$327,842
2024	617	2,931	$268,593

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	14	25	$13,784
2016	N/R	N/R	N/R
2017	15	15	$15,068
2018	11	11	$11,449
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	1,104	$88
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	270	641	$64
80307	Testing for presence of drug, by chemistry analyzers	273	464	$60
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	274	1,432	$6
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	206	980	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Relistor	Methylnaltrexone Bromide	37	1,108	$91,228
Xtampza Er	Oxycodone Myristate	64	1,731	$36,315
Linzess	Linaclotide	11	570	$11,657
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	427	10,728	$11,062
Buprenorphine	Buprenorphine	41	1,148	$9,199

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	44	$532	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Glenn Edward Macnichol, M.D.?

Tedicare shows public-source Medicare data for Glenn Edward Macnichol, M.D. (NPI 1245297811), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Glenn Edward Macnichol, M.D. have ACO affiliation data?

Glenn Edward Macnichol, M.D. is shown with ACO affiliation data for Coastal Plains Network, LLC (MSSP, ACO ID A2684).

What billing organization is linked to Glenn Edward Macnichol, M.D.?

Glenn Edward Macnichol, M.D. is linked to CAROLINA REGIONAL ORTHOPAEDICS, PA (billing NPI 1629018163) in the available physician profile data.

Does Glenn Edward Macnichol, M.D. have Open Payments data?

Glenn Edward Macnichol, M.D. has 44 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.